上海奉贤区某社区居民大肠筛查结果分析.docVIP

上海奉贤区某社区居民大肠癌筛查结果分析 　　摘 要 目的：探讨危险度评估和粪便隐血试验（FOBT）对社区大肠癌筛查的效果。方法：通过危险度评估和FOBT联合方法进行社区大肠癌筛查，初筛高危人群（初筛阳性）经全结肠镜检查，分析检查结果。结果：2014年5月至2015年5月四团社区共接受大肠癌筛查者2 784例，收回有效数据2 680份，确定高危对象539例，初筛阳性率20.11%（539/2 680）；高危对象接受全结肠镜检查344例，肠镜应答率63.82%（344/539），全结肠镜检查出有大肠病变（大肠癌、息肉等）99例，肠镜病变检出率28.78%（99/344）。确诊大肠癌4例，大肠癌检出率149.25/10万（4/2 680）。结论：危险度评估结合FOBT可以有效地检出大肠的病变，有助于大肠癌的早期发现。 中国论文网 /6/viewhtm 　　关键词 大肠癌；筛查；危险度评估；粪便隐血试验；全结肠镜 　　中图分类号：R735.3+4 文献标志码：A 文章编号：1006-1533（2017）22-0045-03 　　Analysis of screening results of colorectal cancer in the residents in Situan Community of Fengxian District， Shanghai 　　ZHAO Ruijuan， HUANG Jianzhong， PAN Lihong， SONG Haiping 　　（Situan Community Health Service Center of Fengxian District， Shanghai 201412， China） 　　ABSTRACT Objective： To discuss the risk assessment and fecal occult blood tests （FOBT） to the community colorectal cancer screening effect. Methods： The community colorectal cancer was screened by risk assessment and FOBT combination method， and the preliminary screened high-risk groups （screening positive） were examined by overall colonoscopy， and the results were analyzed. Results： A total of 2 784 residents were screened for colorectal cancer in Situan Community from May 2014 to May 2015， valid data of 2 680 cases were taken back， 539 cases were identified as high-risk population of colorectal cancer， and the positive rate of primary screening was 20.11%. Overall colonoscopy was performed in 344 patients， and the response rate was 63.82% （ 344/539） ， overall colonoscopy found 99 cases of colorectal cancer （colorectal cancer and polyps）， and the detection rate of colorectal lesions was 28.78% （ 99/344） . 4 cases of colorectal cancer were diagnosed， and the detection rate of colorectal cancer was 149.25/100，000 （4/2 680）. Conclusion： The risk assessment combined with FOBT can detect intestinal lesions effectively， and is helpful to early detect colorectal cancer. 　　KEY WORDS colorectal cancer； screening； risk assessment； fecal